NURS 114 - FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS
characteristics ggof ggA ggfib gg- ggAnswer ggNo ggP ggwave; ggirregular ggrhythm, ggirregular
ggpattern; ggvery ggfast ggrate gg(350-600 ggatrial ggbeats/minute)
main ggfn ggof ggDMARDs ggand gg2 ggtypes gg- ggAnswer ggdecrease gginflammation
methotrexate ggand gghydroxychloroquine
risks/sxs ggassociated ggwith ggA ggfib gg- ggAnswer gglow ggCO; ggarf ggthrombus gg& ggstroke
ggbc ggheart ggis ggquivering ggnot ggactually ggpumping
drugs ggfor ggA ggfib gg- ggAnswer ggAmiodarone gg- ggregulates ggrhythm gg(Ami ggwon't
ggturn ggOne ggunless ggwe ggregulate ggher ggrhythm)
Digoxin gg(do ggnot gggive ggif ggHR gg< gg60) gg- ggregulates ggrhythm gg(A ggfIb gg- ggdIg)
Anti-coag gg(warfarin, ggheparin) gg- ggdt ggthrombus ggrisk
CCB gg(-pines, ggdiltiazem, ggverapamil) gg- ggrelaxes ggthe gg
heart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
whats ggDig ggtoxicity gg- ggAnswer gganorexia, ggNV, ggfatigue, ggHA, ggvisual ggchanges,
ggdepression ggmonitor ggK ggwhile gggiving ggDig
What gglevel ggshould ggyou ggmonitor ggwhile ggtaking ggDig gg- ggAnswer ggpotassium
how ggdoes ggtoo ggmuch ggpotassium ggeffect ggDig gg- ggAnswer ggToo ggmuch ggpotassium
ggcan ggcause ggdigoxin ggnot ggto ggbe ggeffective/therapeutic
how ggdoes ggtoo gglittle ggpotassium ggeffect ggDig gg- ggAnswer ggToo gglittle ggpotassium
ggcan ggcause ggdigoxin ggto ggbe ggTOO ggeffective ggcausing ggtoxicity
Sx ggfor gga ggfib gg- ggAnswer ggCardioversion, ggablation
how ggcan ggyou ggdescribe ggA ggflutter gg- ggAnswer ggSawtooth-shaped ggflutter ggwaves
what ggis ggA ggflutter ggcharacterized ggby gg- ggAnswer ggNo ggP ggwaves; ggregular
ggpattern, ggirregular ggrhythm; ggvery ggfast ggatrial ggrate
,sxs/ ggrisks ggwhen ggyou gghave gga ggflutter gg- ggAnswer ggLow ggCO; ggarf ggthrombus gg&
ggstroke
drugs ggfor gga ggflutter gg- ggAnswer ggAmiodarone gg- ggto ggmaintain ggnL ggrhythm ggi
ggwant ggami ggto ggstay gg1 ggforever gg
Anti-coag gg(warfarin, ggheparin) gg- ggdt ggthrombus ggrisk
CCB gg(-pines, ggdiltiazem) gg- ggrelaxes ggthe ggheart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
sx ggfor gga ggflutter gg- ggAnswer ggCardioversion, ggablation
how ggwould ggyou ggdescribe ggSVT gg- ggAnswer ggregular ggrhythm, gghigh ggrate gg(150-
220 ggbpm)
basically ggtachycardia, ggjust ggrate ggabove gg150
sxs ggof gghaving ggSVT gg- ggAnswer ggLow ggCO; gglow ggBP; ggCP gg& ggdyspnea
drugs ggfor ggSVT gg- ggAnswer gg#1: ggIV ggadenosine gg- ggreduce ggHR gg(give ggrapidly,
ggfollow ggwith ggflush) gg(drink gggator*ADE* ggto ggcool ggdown ggand gg*decrease ggHR*
gg.......or.... ggI ggwant ggto ggslow ggdown ggon ggmy ggsinning)
Digoxin gg- ggdecreases ggHR gg(monitor ggpotassium)
Anti-coag gg(warfarin, ggheparin) gg- ggdt ggthrombus ggrisk
CCB gg(-pines, ggdiltiazem) gg- ggrelaxes ggthe ggheart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
how ggcan ggyou ggdescribe ggbradycardia gg- ggAnswer ggP ggwave ggpresent, ggregular
ggrhythm, ggslow ggrate gg(< gg60 ggbpm)
what ggshould ggyou ggdo ggFIRST ggwith gga ggbrady ggpt? gg- ggAnswer ggASK ggif ggthis ggis
ggnormal ggfor ggthem.. ggif ggit ggis ggand ggthey ggare ggasymptomatic ggtx ggisnt ggneeded
sxs ggof ggbradycardia gg- ggAnswer ggFatigue, ggdizzy, ggCP, ggsyncope, ggconfusion,
ggSOB, gglow ggBP, ggpale/cool ggskin
drugs ggfor ggbradycardia gg- ggAnswer ggIF ggSYMPTOMATIC... ggIV ggaTrOPine gg(causes
ggHR ggto ggget ggto ggthe gg*TOP*)
, describe ggtachycardia gg- ggAnswer ggP ggwave ggpresent, ggregular ggrhythm, ggfast ggrate
gg(101-149 ggbpm)
what ggcan ggcause ggtachycardia gg- ggAnswer ggstressors, ggexercise, ggfever, ggpain, gglow
ggBP, gglow ggvolume, gglow ggO2, ggMI, ggHF, ggfear
sxs ggof ggtachycardia gg- ggAnswer ggDizzy, ggSOB, gglow ggBP, ggCP gg→ gglike ggwhen
ggyou're ggrunning ggoutside ggand ggit's gghot
what ggthe ggfirst ggthing ggyou ggshould ggdo ggfor gga ggtachycardic ggpt gg- ggAnswer
ggTREAT ggTHE ggCAUSE gg
ex. ggif ggthey gghave ggfever gg- ggantipyretic gg
if ggtheyre ggin ggpain- gganalgesic
drugs ggfor ggtachycardia gg- ggAnswer ggIV ggadenosine gg- ggreduce ggHR gg(give ggrapidly,
ggfollow ggwith ggflush) gg(drink gggator*ADE* ggto ggcool ggdown ggand gg*decrease ggHR*)
CCB gg(-pines, ggdiltiazem) gg- ggrelaxes ggthe ggheart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
whats ggnormal ggsinus gglook gglike gg- ggAnswer ggP ggwave ggpresent, ggregular ggrhythm,
ggregular ggrate gg(60-100 ggbpm)
rule ggof ggthumb ggfor ggdysrythmias gg- ggAnswer ggtreat ggwhat ggthe ggpt ggpresents ggw
ggnot ggthe ggmonitor
Immediate ggnursing gginterventions ggfor ggsymptomatic ggdysrhythmias gg- ggAnswer gg#1:
ggABCs gg(AIRWAY ggAIRWAY ggAIRWAY)
O2 ggvia ggcannula ggor ggnon-rebreather
12-lead ggEKG
IV ggaccess
Get gglabs
what ggwould gga ggCVAD ggbe gggiven ggfor gg- ggAnswer ggAllow ggaccess ggfor ggrepeated
ggaccess ggto ggthe ggvascular ggsystem gg(cont. gginfusion; ggTPN; ggvesicants)
how ggmust ggyou ggverify ggCVAD ggprior ggto gguse gg- ggAnswer ggXRAY
nursing ggconsiderations ggfor ggCVAD gg- ggAnswer ggNO ggbp ggor ggneedle ggsticks ggin
ggthat ggarm
WITH CORRECT ANSWERS
characteristics ggof ggA ggfib gg- ggAnswer ggNo ggP ggwave; ggirregular ggrhythm, ggirregular
ggpattern; ggvery ggfast ggrate gg(350-600 ggatrial ggbeats/minute)
main ggfn ggof ggDMARDs ggand gg2 ggtypes gg- ggAnswer ggdecrease gginflammation
methotrexate ggand gghydroxychloroquine
risks/sxs ggassociated ggwith ggA ggfib gg- ggAnswer gglow ggCO; ggarf ggthrombus gg& ggstroke
ggbc ggheart ggis ggquivering ggnot ggactually ggpumping
drugs ggfor ggA ggfib gg- ggAnswer ggAmiodarone gg- ggregulates ggrhythm gg(Ami ggwon't
ggturn ggOne ggunless ggwe ggregulate ggher ggrhythm)
Digoxin gg(do ggnot gggive ggif ggHR gg< gg60) gg- ggregulates ggrhythm gg(A ggfIb gg- ggdIg)
Anti-coag gg(warfarin, ggheparin) gg- ggdt ggthrombus ggrisk
CCB gg(-pines, ggdiltiazem, ggverapamil) gg- ggrelaxes ggthe gg
heart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
whats ggDig ggtoxicity gg- ggAnswer gganorexia, ggNV, ggfatigue, ggHA, ggvisual ggchanges,
ggdepression ggmonitor ggK ggwhile gggiving ggDig
What gglevel ggshould ggyou ggmonitor ggwhile ggtaking ggDig gg- ggAnswer ggpotassium
how ggdoes ggtoo ggmuch ggpotassium ggeffect ggDig gg- ggAnswer ggToo ggmuch ggpotassium
ggcan ggcause ggdigoxin ggnot ggto ggbe ggeffective/therapeutic
how ggdoes ggtoo gglittle ggpotassium ggeffect ggDig gg- ggAnswer ggToo gglittle ggpotassium
ggcan ggcause ggdigoxin ggto ggbe ggTOO ggeffective ggcausing ggtoxicity
Sx ggfor gga ggfib gg- ggAnswer ggCardioversion, ggablation
how ggcan ggyou ggdescribe ggA ggflutter gg- ggAnswer ggSawtooth-shaped ggflutter ggwaves
what ggis ggA ggflutter ggcharacterized ggby gg- ggAnswer ggNo ggP ggwaves; ggregular
ggpattern, ggirregular ggrhythm; ggvery ggfast ggatrial ggrate
,sxs/ ggrisks ggwhen ggyou gghave gga ggflutter gg- ggAnswer ggLow ggCO; ggarf ggthrombus gg&
ggstroke
drugs ggfor gga ggflutter gg- ggAnswer ggAmiodarone gg- ggto ggmaintain ggnL ggrhythm ggi
ggwant ggami ggto ggstay gg1 ggforever gg
Anti-coag gg(warfarin, ggheparin) gg- ggdt ggthrombus ggrisk
CCB gg(-pines, ggdiltiazem) gg- ggrelaxes ggthe ggheart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
sx ggfor gga ggflutter gg- ggAnswer ggCardioversion, ggablation
how ggwould ggyou ggdescribe ggSVT gg- ggAnswer ggregular ggrhythm, gghigh ggrate gg(150-
220 ggbpm)
basically ggtachycardia, ggjust ggrate ggabove gg150
sxs ggof gghaving ggSVT gg- ggAnswer ggLow ggCO; gglow ggBP; ggCP gg& ggdyspnea
drugs ggfor ggSVT gg- ggAnswer gg#1: ggIV ggadenosine gg- ggreduce ggHR gg(give ggrapidly,
ggfollow ggwith ggflush) gg(drink gggator*ADE* ggto ggcool ggdown ggand gg*decrease ggHR*
gg.......or.... ggI ggwant ggto ggslow ggdown ggon ggmy ggsinning)
Digoxin gg- ggdecreases ggHR gg(monitor ggpotassium)
Anti-coag gg(warfarin, ggheparin) gg- ggdt ggthrombus ggrisk
CCB gg(-pines, ggdiltiazem) gg- ggrelaxes ggthe ggheart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
how ggcan ggyou ggdescribe ggbradycardia gg- ggAnswer ggP ggwave ggpresent, ggregular
ggrhythm, ggslow ggrate gg(< gg60 ggbpm)
what ggshould ggyou ggdo ggFIRST ggwith gga ggbrady ggpt? gg- ggAnswer ggASK ggif ggthis ggis
ggnormal ggfor ggthem.. ggif ggit ggis ggand ggthey ggare ggasymptomatic ggtx ggisnt ggneeded
sxs ggof ggbradycardia gg- ggAnswer ggFatigue, ggdizzy, ggCP, ggsyncope, ggconfusion,
ggSOB, gglow ggBP, ggpale/cool ggskin
drugs ggfor ggbradycardia gg- ggAnswer ggIF ggSYMPTOMATIC... ggIV ggaTrOPine gg(causes
ggHR ggto ggget ggto ggthe gg*TOP*)
, describe ggtachycardia gg- ggAnswer ggP ggwave ggpresent, ggregular ggrhythm, ggfast ggrate
gg(101-149 ggbpm)
what ggcan ggcause ggtachycardia gg- ggAnswer ggstressors, ggexercise, ggfever, ggpain, gglow
ggBP, gglow ggvolume, gglow ggO2, ggMI, ggHF, ggfear
sxs ggof ggtachycardia gg- ggAnswer ggDizzy, ggSOB, gglow ggBP, ggCP gg→ gglike ggwhen
ggyou're ggrunning ggoutside ggand ggit's gghot
what ggthe ggfirst ggthing ggyou ggshould ggdo ggfor gga ggtachycardic ggpt gg- ggAnswer
ggTREAT ggTHE ggCAUSE gg
ex. ggif ggthey gghave ggfever gg- ggantipyretic gg
if ggtheyre ggin ggpain- gganalgesic
drugs ggfor ggtachycardia gg- ggAnswer ggIV ggadenosine gg- ggreduce ggHR gg(give ggrapidly,
ggfollow ggwith ggflush) gg(drink gggator*ADE* ggto ggcool ggdown ggand gg*decrease ggHR*)
CCB gg(-pines, ggdiltiazem) gg- ggrelaxes ggthe ggheart ggmuscle
B-blockers(-lols) gg- ggdecrease ggHR
whats ggnormal ggsinus gglook gglike gg- ggAnswer ggP ggwave ggpresent, ggregular ggrhythm,
ggregular ggrate gg(60-100 ggbpm)
rule ggof ggthumb ggfor ggdysrythmias gg- ggAnswer ggtreat ggwhat ggthe ggpt ggpresents ggw
ggnot ggthe ggmonitor
Immediate ggnursing gginterventions ggfor ggsymptomatic ggdysrhythmias gg- ggAnswer gg#1:
ggABCs gg(AIRWAY ggAIRWAY ggAIRWAY)
O2 ggvia ggcannula ggor ggnon-rebreather
12-lead ggEKG
IV ggaccess
Get gglabs
what ggwould gga ggCVAD ggbe gggiven ggfor gg- ggAnswer ggAllow ggaccess ggfor ggrepeated
ggaccess ggto ggthe ggvascular ggsystem gg(cont. gginfusion; ggTPN; ggvesicants)
how ggmust ggyou ggverify ggCVAD ggprior ggto gguse gg- ggAnswer ggXRAY
nursing ggconsiderations ggfor ggCVAD gg- ggAnswer ggNO ggbp ggor ggneedle ggsticks ggin
ggthat ggarm